Provider Demographics
NPI:1649231911
Name:PANZER, LAURA STEITLER (PAC)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:STEITLER
Last Name:PANZER
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 ASHELAND AVE
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4016
Mailing Address - Country:US
Mailing Address - Phone:828-258-8681
Mailing Address - Fax:828-253-4830
Practice Address - Street 1:206 ASHELAND AVE
Practice Address - Street 2:ASHEVILLE FAMILY HEALTH CENTERS PA
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4016
Practice Address - Country:US
Practice Address - Phone:828-258-8681
Practice Address - Fax:828-253-4830
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2012-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC102696363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8901209Medicaid
NC2751430AMedicare PIN
S78150Medicare UPIN